DEENAH CAVILL (FNP-BC) – Family Nurse Practitioner, NPI 1174012595

DEENAH CAVILL (FNP-BC) is a healthcare provider. based in Jackson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704273202 (MI). The NPI Number for DEENAH CAVILL (FNP-BC) is 1174012595

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DEENAH CAVILL (FNP-BC)
NPI
1174012595
Phone
(517) 205-7655
Address
205 N East Ave
Enumeration Date
2 May 2018
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485362127
Graduation Year
2018 (8 years ago)
PAC ID
5991042251
Group Practice PAC ID
3173961372
Professional Enrollment ID
I20190124000087
Address ID
MI492011753JA205XXAVEX400

Contacts

Secure Messaging
dcavill453189@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DEENAH CAVILL (FNP-BC)

  • 205 N East Ave

    Jackson, MI 492011753

    Phone: (517) 205-7655

    Type: Location

  • 205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States

    JACKSON, MI 492011753

    Phone: (517) 205-7655

    Type: Location

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (800) 999-5829

    Fax: (313) 876-1305

    Type: Mailing

  • 3305 SPRING ARBOR RD STE 200

    JACKSON, MI 492033995

    Phone: (517) 205-1285

    Fax: (313) 876-1305

    Type: Location

  • 139 N GRAND POINTE DR

    BROOKLYN, MI 492309748

    Phone: (517) 902-1732

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190124000087INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2525$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1916$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173961372View full group profile
NameSpecialtyState
Internal MedicineMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerOH
Internal Medicine, HospitalistMI
Internal Medicine, Emergency MedicineMI
Internal MedicineMI
Internal Medicine, Emergency MedicineMI
Internal MedicineMI
Family PracticeMI

Reviews

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Frequently asked questions

What NPI should I save for DEENAH CAVILL (FNP-BC)?
Save NPI 1174012595 if you need a stable reference for DEENAH CAVILL (FNP-BC).
Is DEENAH CAVILL (FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DEENAH CAVILL (FNP-BC)'s specialty in plain language?
Clinically, the directory lists DEENAH CAVILL (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DEENAH CAVILL (FNP-BC)?
The snapshot lists Jackson, Michigan for DEENAH CAVILL (FNP-BC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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